Symptoms

Some tension headaches are nearly constant, with daily pain that may vary in intensity. Other tension headaches only occur once in a while. Symptoms usually start slowly and build.

Tension headache may cause:

Constant, steady pain and pressure

Dull and achy pain

Pain which may be felt on both sides of the head, in the forehead, temples, and the back of the head

Pressure may feel like a tight band around the head

Intensity ranges from mild to severe and can vary during the day

Tightness in head and neck muscles

Headaches can become so severe and constant that they interfere with normal activities and sleep.

Diagnosis

You will be asked about your symptoms and medical history. A physical exam will be done. Diagnosis can be made on exam, based on specific features. The cause of the headaches however, may be more difficult to determine. A neurological exam may be done.

Imaging is not usually needed, but if pain is unusual or severe it may be done to look for other causes of the headache. Imaging tests include:

Treatment

There are no specific cures for tension headaches, but they can be managed. Therapies aim to stop the headache and reduce the frequency of future episodes.

Treatment may include:

Medications

For occasional headaches, the following medication may be recommended to relieve pain:

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen

Prescription pain relievers

Note: Pain medications are most effective when taken at the first sign of pain and before it becomes severe. Overusing some over-the-counter medications may actually cause headaches. Continuous use of medications may create rebound pain when you stop taking the drug.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.